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Many systematic reviews look at key aspects of thumb carpometacarpal joint osteoarthritis therapy, but none examines the results of trapezial partial resection and interposition arthroplasty in stage II to III patients in detail, yet this procedure is of increasing concern as surgeons seek more nuanced, targeted approaches for osteoarthritis of the first carpometacarpal joint osteoarthritis treatment. Methods An comprehensive review of the thumb carpometacarpal joint hemiresection and interposition arthroplasty was carried out with pain assessment as the primary outcome indicator and patient-reported outcome measures and reoperation rate were determined as secondary outcome outcomes. In all of the articles that used this method with all the interposition materials, pain relief and improved PROMs were discussed. Conclusions This report shows that hemiresection interposition arthroplasty is a safe procedure that provides symptomatic relief to patients with Eaton-Littler stage II and III osteoarthritis patients. With the use of implants, revision surgery rates due to persistent pain and instability were higher.
Source link: https://doi.org/10.1177/1558944720974124
This descriptive anatomical research investigates the relationship between the third interosseous muscle, also known as the suspensor ligament, and the carpometacarpal joint in forelimbs of horses, demonstrating a direct synovial interaction between the three organs as shown by computed tomographic arthrography, histology, and gross anatomy sections. The photos were interpreted objectively for comparison medium size and stymie ligament parameters at 0. 5 cm intervals beginning at the root and stretching 3 cm distal to the third metacarpal bone plate's proximal subchondral bone plate. In all eight limbs, the positive contrast medium was discovered within the suspensory ligament's lateral and medial lobes. Following contrast injection, the sussory ligament's insides were significantly higher than those in the plain CT group between 0. 5 and 2. 5 cm distal to the third metacarpal bone plate's proximal subchondral bone plate. The gross anatomy sections revealed color pigmentation within the suspensory ligament in connection with the contrast medium distribution apparent on computed tomography images. The demonstration of a direct synovial link between the proximal suspensory ligament and the carpometacarpal joint in horses provides a more detailed explanation of commonly encountered experiences of diagnostic local anesthesia in the carpal and sub-pal regions. Moreover, as the proximal susory ligament was clearly shown on CT images, further research is required to elucidate the use of CT in clinical cases of suspected soft tissue disease in the subregion of the subcutaneous region.
Source link: https://doi.org/10.3389/fvets.2022.958598
The first carpometacarpal joint is the most common hand joint to suffer osteoarthritis. According to a survey, many hand surgeons have reconsidered implant arthroplasty because it protects vital organs. The present research was the first to use and evaluate early results of pyrocarbon spherical implants for the first CMC in patients with Eaton-Littler stage II and III osteoarthritis. From May 2010 to April 2013, a single surgeon underwent 24 arthroplasties of the first CMC using pyrocarbon spherical implants. The mean Kapandji score was 8. 8 of 10 when compared to a mean of 18. 5 u00b111. 16 months postoperatively, and the average pre- and postoperative values on the visual pain scale were 8. 96 percent of 10 and 1. 13 percent of 10 respectively. Arm, Shoulder, and Hand scores were 11. 79 percent, up from 114. 29 percent in the mean.
Source link: https://doi.org/10.1177/229255031402200208
5th carpometacarpal joint dislocations of the wrist joint region are extremely uncommon and often ignored injuries. In this research, we present a case of the 5th CMC joint fracturedislocation of the 5th CMC joint. a 25-year-old patient who was admitted to the emergency department due to wrist pains, was not aware of fracturedislocation of the 5th CMC joint. Conclusion: The patient has a poor and painful gripping function as a result of undiagnosed 5th CMC joint dislocation, which interferes with the hand's transverse and longitudinal arches of the hand.
Source link: https://doi.org/10.33706/jemcr.1108021
Arthroscopic treatment of thumb carpometacarpal osteoarthrosis is a therapy that has variable findings. For ten included non-randomized cohort studies of 294 patients, there were ten meta-analyses of visual analogue scores for pain, Disabilities of the Arm, Shoulder and Hand, arm, and Hand scores, grip endurance, and pinch strength before and after arthroscopy were conducted. The use of arthroscopic-assisted techniques for thumb CMC OA remains limited; however, it may be a viable option for patients with thumb CMC OA who do not respond to non-operative therapy.
Source link: https://doi.org/10.1177/1753193418757122
Introduction Carpometacarpal joint osteoarthritis is a common and painful condition that is related to ligament laxity, subluxation, and joint instability. Several treatments have been developed to treat the symptoms associated with instability and subluxation. This research sought to investigate senior therapists' perspectives about joint osteoarthritis and its relationship with laxity, subluxation, and force, as well as the perceived effectiveness of exercise interventions. Instability was attributed to laxity, subluxation, and disease progression, and was seen as a problem throughout the entire thumb column, according to some, and exercise in management was seen as a factor in treating hypertrophy; developmental muscle strength, early disease, or all stages of disease; and finally, the role of exercise in disease management was unclear; rather than compensating for instability.
Source link: https://doi.org/10.1177/1758998317698099
Background: Given the predilection of first carpometacarpal joint osteoarthritis in women compared to men, we want to find the differences in first CMC joint surface geometry and congruence between young healthy males and females. Measurements of joint congruence and surface geometry were investigated, including joint space volume, distance between the bones at the articular surface edges, the joint space area, and radius of curvature in the radial-ulnar and volar-dorsal planes. The mean thumb CMC articular space volume for females was 104. 02 mm 3 for females and 138. 63 for males, according to a results. Conclusions: This research found that there are gender differences in the first CMC joint articular volume without normalizing for size; however, there are no sex differences in the first CMC joint articular volume, curvature characteristics, or joint congruence of young, healthy patients after normalizing for joint size.
Source link: https://doi.org/10.1177/1558944716688528
Purpose This systematic review and meta-analysis provides an insight into which surgical intervention is more effective for first carpometacarpal joint osteoarthritis. Methods – Methods In August 2020, MEDLINE, Embase, and Web of Science were looking for eligible studies that compared these two methods for the treatment of CMC-1 joint osteoarthritis. Patients in the JR group had lower post-operative QDASH scores, according to our meta-analysis. Conclusion based on very little to moderately based on preliminary results, JR treatments may result in increased functionality with less pain and higher chances of necessitizing revision surgery. A more complete RCT that compares JR and TRAP with standardised outcome measures and a long-term follow-up can add to the overall quality of evidence.
Source link: https://doi.org/10.1007/s00590-021-03070-5
Background information The trapeziometacarpal articulation in the thumb is the second-most common area of osteoarthritis, and it can cause significant hand pain and disability. Objective This paper aims to determine the results of trapeziectomy with ligament reconstruction and tendon interposition versus trapeziometacarpal joint replacement for thumb carpometacarpal osteoarthritis. Results Our results reveal a significant difference in the Quick Disabilities of the Arm Shoulder and Hand score between the trapeziectomy with ligament reconstruction and tendon interposition, Joint Replacement groups, with the joint replacement group having higher QDASH scores than the LRTI group. Conclusion Our report shows that although both treatment options are valid, the limited body of evidence currently available shows that joint replacement carries greater risks and therefore does not replace the current standard treatment of trapeziectomy with LRTI.
Source link: https://doi.org/10.1055/s-0041-1731818
This report examines the patient demographics, socioeconomic outcomes, and complications of trapeziometacarpal arthrodesis as a treatment for arthritis of the first carpometacarpal joint. In total, 21 studies met inclusion and exclusion criteria for 802 patients and 914 thumbs, according to the results. Average age at the time of surgery was 55. 4 years at 54. 9 years, with a mean follow-up time of 72. 7 months. Mean preoperative Disabilities of the Arm, Shoulder, and Hand scores were 58 and 25. 4 respectively, with 58 and 25. 4 postoperatively. Mean preoperative visual analogue scale score was 6. 8 and 1. 9 postoperatively, according to the Mean preoperative visual analogue scale score of 6. 8 and 1. 9. Mean preoperative grip strength was 15. 7 kilograms and 23. 0 kilogram postoperatively, and 23. 0 kg postoperatively. In all, 48. 7% of thumbs had problems, 15. 1% of which were major, and 32 percent were minor, with 34. 6% being minor. Conclusions: Arthrodesis for arthritis of the trapeziometacarpal joint is associated with positive performance and low to moderate patient-reported disability and pain scores, but there is a high complication rate.
Source link: https://doi.org/10.1177/15589447221105541
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